18-Agreement, Exhibit F - Environmental Document.pdf
PDF 1 MB Posted
- Attached to
- Ground Transportation Management Services for Fort Lauderdale-Hollywood International Airport
- Solicitation number
- GEN2130273P1
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is an Environmental Document form developed by the Broward County Aviation Department in connection with ground transportation management services at Fort Lauderdale-Hollywood International Airport in Florida. The form collects comprehensive environmental compliance information from vendors providing services at the airport, including details about their operational activities, service providers, environmental plans, regulatory filings, hazardous materials handling, and environmental permits and licenses. The document requires vendors to identify their company information, describe services provided under their agreement, and specify whether they engage in activities such as fueling, maintenance, and plane washing—either directly or through contracted vendors.
The environmental questionnaire mandates disclosure of all applicable environmental documentation, including Best Management Plans, Storm Water Pollution Prevention Plans, Spill Prevention Control and Countermeasures Plans, and Hazardous Materials Plans. Vendors must report their regulatory status regarding SARA Title III reporting requirements, hazardous waste generation and storage under 40 CFR 261, and provide safety data sheets for all products used in cleaning or maintenance operations. Additionally, the form requires comprehensive listings and copies of all environmental licenses and permits issued by county, state, or federal agencies related to storage tanks, hazardous materials, air emissions, solid waste, hazardous waste, industrial wastewater pretreatment, and stormwater management. This environmental documentation serves as a critical compliance and risk assessment tool for the County's evaluation of vendor qualifications and environmental responsibility.
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Text version
ENVIRONMENTAL DOCUMENT
Company Name: (Include Company Environmental Representative Contact Information)
Mailing Address:
Street or Post Office Box
City: _____________________________ State: _____ Zip Code: ____
Type of Agreement (Check One):
( ) Airline Service Provider Agreement ( ) Terminal Building Lease Agreement ( ) Signatory Terminal Building Lease Agreement ( ) Field Usage Agreement ( ) Meals Aloft Agreement ( ) Other ____________________________
Describe the activities performed and services provided under this agreement:
Does the company perform fueling? Yes __ No __ Does the company use a vendor to perform fueling? Yes___ No___ If yes, what is the name and contact information of the fueling vendor?
Does the company perform maintenance? Yes __ No __ Does the company use a vendor to perform maintenance? Yes___ No___ If yes, what is the name and contact information of the maintenance vendor?
Does the company wash planes? Yes __ No __ Does the company use a vendor to wash the planes? Yes___ No___ If yes, what is the name and contact information of the washing vendor?
Exhibit F
Does the company have the following documents, if applicable, provide for the County’s for review: If not applicable, denote "N/A."
1. Best Management Plan, dated __________.
2. Storm Water Pollution Prevention Plan, dated __________.
3. Spill Prevention Control and Countermeasures Plan, dated __________.
4. Hazardous Materials Plan, dated __________.
5. Other applicable environmental plans:
Does the company required to file the SARA Title III Reporting? Yes __ No __
If Yes, was last filed on (date) __________________________________.
Does the company generate or store hazardous waste pursuant to 40 CFR 261?
Yes ___ No ___.
If Yes, the status is _____ conditionally exempt; _____ small; _____ large quantity generator.
If required, reports were filed on (date) ____________________.
If Yes, what types of hazardous waste or materials do you generate or store?
Please provide all data sheets for any products used in cleaning or maintenance.
Provide details of all environmental licenses and/or permits issued to the Company by County, State, or Federal agencies. These may include, but are not limited to, permits related to storage tanks, hazardous materials, air emissions, solid waste, hazardous waste, industrial wastewater pretreatment, and stormwater management. Additionally, provide copies of all such licenses and permits
Permit Name/Type License No. Date Expires
1. ________________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
5. ________________________________________________________________
6. ________________________________________________________________
| Mailing Address: |
| Street or Post Office Box: |
| Type of Agreement Check One: |
| State: |
| Zip Code: |
| Describe the activities performed and services provided under this agreement: |
| 1: |
| 2: |
| 3: |
| 4: |
| If yes what is the name and contact information of the fueling vendor: |
| Does the company perform maintenance Yes: |
| If yes what is the name and contact information of the maintenance vendor: |
| No: |
| Does the company wash planes Yes: |
| If yes what is the name and contact information of the washing vendor: |
| Does the company have the following documents if applicable provide for the Countys for: |
| undefined: |
| undefined_2: |
| undefined_3: |
| undefined_4: |
| 5 Other applicable environmental plans: |
| undefined_5: |
| No_2: |
| undefined_6: |
| conditionally exempt: |
| small: |
| large quantity generator: |
| undefined_7: |
| If Yes what types of hazardous waste or materials do you generate or store 1: |
| If Yes what types of hazardous waste or materials do you generate or store 2: |
| If Yes what types of hazardous waste or materials do you generate or store 3: |
| If Yes what types of hazardous waste or materials do you generate or store 4: |
| If Yes what types of hazardous waste or materials do you generate or store 5: |
| Please provide all data sheets for any products used in cleaning or maintenance 1: |
| Please provide all data sheets for any products used in cleaning or maintenance 2: |
| 1_2: |
| 2_2: |
| 3_2: |
| 4_2: |
| 5: |
| 6: |
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